Global Action Plan for the Prevention and Control of Pneumonia and Diarrhoea | GAPPD

The Integrated Global Action Plan for the Prevention and Control of Pneumonia and Diarrhoea (GAPPD) proposes cohesive approach to ending preventable pneumonia and diarrhoea deaths.

It brings together critical services and interventions to create healthy environments, promotes practices known to protect children from disease, and ensures that every child has access to proven and appropriate preventive and treatment measures.

The specific goals for 2025 are to:

• reduce mortality from pneumonia in children less than 5 years of age to fewer than 3 per 1000 live births;
• reduce mortality from diarrhoea in children less than 5 years of age to fewer than 1 per 1000 live births;
• reduce the incidence of severe pneumonia by 75% in children less than 5 years of age compared to 2010 levels;
• reduce the incidence of severe diarrhoea by 75% in children less than 5 years of age compared to 2010 levels;
• reduce by 40% the global number of children less than 5 years of age who are stunted compared to 2010 levels.

These goals are ambitious and will require significant political will and mobilization of additional resources if they are to be reached.

Coverage targets to be maintained or reached have also been set to define efforts needed to attain the above goals.

These are:

By the end of 2025:

• 90% full-dose coverage of each relevant vaccine (with 80% coverage in every district); (Rotavirus/Measles/Hib/Pneumococcal)
• 90% access to appropriate pneumonia and diarrhoea case management (with 80% coverage in every district);
• at least 50% coverage of exclusive breast-feeding during the first 6 months of life;
• virtual elimination of paediatric HIV.

By the end of 2030:

• universal access to basic drinking-water in health care facilities and homes;
• universal access to adequate sanitation in health care facilities by 2030 and in homes by 2040;
• universal access to handwashing facilities (water and soap) in health care facilities and homes;
• universal access to clean and safe energy technologies in health care facilities and homes